Leave Request Form

Please complete the form below and click SUBMIT.

Deadline to submit form: the fifth Wednesday of the session.

• Forms submitted after the deadline listed above will not be processed.
• Students may not miss classes in order to travel.
• You must have permission from the ELI to travel outside of the USA.
• You must have permission from the ELI to travel inside of the USA if your travel plans will make you miss classes.
• You do not need permission from the ELI to travel inside of the USA if your travel plans will not make you miss classes (i.e., if you are traveling on the weekend or during the break between sessions).
• If you have an F-1 visa and you will be traveling with your F-2 dependents (i.e., your husband, wife, or child), you do not need to complete this form for any of your dependents unless that dependent is also a student at the ELI.

You will receive a response (i.e., an answer) about your travel request by email by Friday of the sixth week of the session.

Important information:

• You will receive a message by email once the travel form is complete.
• It is not necessary to make an appointment with an ELI Admissions Counselor to talk about your travel plans. ELI staff does not give permission to travel based on student meetings; instead, we look at your travel plans and your student records before deciding about your travel.
• Please do not contact the ELI about your travel request form unless it is after the deadline listed above and you still have not received a response about your travel (if that happens, you can contact ud-eli@udel.edu).
• If you need advice about making your travel plans, please contact ud-eli@udel.edu.

Student Information

Full Name *

Enter your name exactly as it appears on your passport.

Student ID# *

Email *

Are you a CAP student? *

Yes, I am a CAP student.

No, I am not a CAP student.

I do not know if I am a CAP student.

Listening/Speaking level * BASICLevel ILevel IILevel IIILevel IVLevel VLevel VI

What is your level in Listening/Speaking classes this session?

Reading/Writing level * BASICLevel ILevel IILevel IIILevel IVLevel VLevel VI

What is your level in Reading/Writing classes this session?

Travel Dates

Enter your travel information.

Date you will leave *

Enter date format at MM/DD/YYYY (example: December 19, 2014 must be entered as 12/19/2014.

Date you will return to Delaware *

Enter date format at MM/DD/YYYY (example: December 19, 2014 must be entered as 12/19/2014.

Date you will return to ELI classes *

Enter date format at MM/DD/YYYY (example: December 19, 2014 must be entered as 12/19/2014.

Important Note: Students are not permitted to return late from their travels.

Any student who tries to return to the ELI later than the return date that was authorized will not be allowed to return to the ELI. Instead, the student will be required to skip a session.

This often results in a Leave of Absence and termination of the student’s I-20 form and visa!

Destination

Where will you go?

City *

Country *

Additional Information

Reason for travel *

I want to take a short break between ELI sessions.

I want to take my annual vacation.

There is an emergency in my family.

I have a medical problem and I need a medical leave of absence.

There is an important event in my family.

Religious holiday.

Other (see details below)

If you chose "Other" above, please explain why you need to travel.

Additional information (if any)

Signature

Signature *

Enter your name here.

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Travel terms and conditions

By submitting this form, I understand and agree to the following terms and conditions:

• I cannot miss classes a result of this travel unless I have written permission from an ELI administrator.
• If I have to miss classes as part of my travel plans, I must work with my teacher to make up any missed classwork.
• If I miss a final exam because of my travel plans, I will not have an opportunity to take the test at another time.
• If I must miss classes due to travel, I will be marked absent for those classes missed, regardless of whether I have received permission from an ELI administrator to miss classes.
• I have read the ELI’s attendance policy in my Student Handbook and I understand how absences affect my visa status.
• For government-sponsored students: I understand that the ELI is required to notify my sponsor about my travel plans. I also understand that I am responsible for getting permission from my sponsor to travel.

Important Note: Students are not permitted to return late from their travels. Any student who tries to return to the ELI later than the return date that was authorized will not be allowed to return to the ELI. Instead, the student will be required to skip a session. This often results in a Leave of Absence and termination of the student’s I-20 form and visa!